| NPI | 1407269657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC 000181) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001314) |
| 106H00000X Marriage & Family Therapist (Licence: NY 001097-1) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2024-01-22 |